- Welcome back, massage nerds.
I'm so excited that today
we are gonna be doing the biceps on Leo,
and I'm gonna teach you a little bit of anatomy,
technique, and physiology, and some pathologies.
So to start off with, I wanna remind you guys,
in the anterior there's only three muscles in the front,
which would be the biceps, the coracobrachialis,
and the brachialis.
So biceps, remember, means two heads.
So we have two origins.
The long head originates at the supraglenoid fossa
of the scapula,
and the short head of the bicep originates right here
on the coracoid process of the scapula.
So you can feel for the boney protuberance right here,
you can feel it on people.
Be gentle because it really does hurt,
or it can be very sensitive.
So feel for the coracoid process,
and this coracoid process has three insertions.
Two of 'em are the origins of the short head of the biceps
and the coracobrachialis.
That's the name, coracoid, you know coracobrachialis.
And the insertion from the pec minor.
There's other attachments here, okay?
So you wanna make sure that you check.
We also have the pec major attaching like right here,
and you might think it's the short head of the bicep,
but it could really be the pec major.
So make sure you do some palpating
to make sure that you're on the right muscle.
And the subscapularis also inserts right here
on the humerus.
So you wanna be real careful
that you pinpoint which muscle it is, which origin it is.
Is it an insertion or an origin?
'Cause this would be an insertion, this is an origin.
Remember, origins are more medial
and insertions are more distal from the body.
So make sure you check that out.
If it hurts around here,
it could be the insertion of the pec major
or the subscapularis,
which, the subscapularis is the largest tendon
of the rotator cuff muscles.
Oh, and check out that video.
I have a video out on the rotator cuff
and also on the pecs.
So you can see how I describe that there.
So there's three muscles here only in the front,
triceps only in the back.
And the muscular cutaneous nerve
is the one that serves the anterior part of the arm,
and everything in the back is the radial nerve.
The biceps originates right here
and then it inserts on the radial side, okay?
The biceps is a flexor and a supinator.
If you are flexing, then you can really see the biceps,
but if you turn to pronate, your biceps disappears.
So you can really only use it
because it crosses the two joints.
It crosses the shoulder and the humerus.
It attaches nowhere on the humerus, okay?
So remember that.
And the brachialis attaches on the ulnar side, okay?
From the humerus to the ulnar side.
And the coracobrachialis attaches from the coracoid process
down here into the medial shaft of the humerus.
So the bicep's nowhere on the humerus,
thus, it's a very good flexor.
So I'm gonna show you some techniques.
You wanna do some your obvious effleurage.
Take it easy, start slow.
You can also do some petrissage,
and you can do some skin rolling,
especially around the belly of the muscle.
You wanna go ahead and do some grasping here,
in case they have some tenderness.
Usually, the trigger points are right on the belly,
and if I can have you flex for me for a little,
you can really see his bicep pop up.
What makes the bicep look even bigger,
is that the brachialis is underneath.
So the brachialis makes the biceps pop up
even no when they flex.
So if you can see that right there,
it really pops up the bicep brachii.
So you can do your effleurage, your petrissage.
You can also do another one here
where you can tuck it in at your waist level, okay?
You don't wanna have anything closer to your breast area.
So you can hold it with your waist
and you're gonna use your thumbs or your fingers
to get to the brachialis.
If you can see the brachialis right here on this side.
We just showed you a little bit of it
on both sides 'cause it is beneath.
So one of the techniques that you can do
is you can push your thumbs together towards each other
to really get to the brachialis.
Or you can use your fingers
just to grasp it there and to really feel
where there's some trigger points and some knots.
And you also need to palpate the tendon attachments
right here at the origins.
And then there's also called the Free Test.
So that you can have them flex their arm
and then press on the long head of the bicep,
and if it hurts and it's tender,
they probably have something going on there,
maybe some arthritis or something.
And there's another one here, the Hook Test, where they flex
and you can really feel the tendon right there.
You can feel the tendon of the brachialis on the ulnar side
and the tendon on the radial side.
And a lot of times when you have a type one
or a type two strain,
that means that the tendons really are damaged,
either from overuse or from an injury.
Especially weight lifters.
You know you can damage the tendons,
and there's a type one, type two, and type three strain.
Remember strain with a T is for the tendon,
that has to do with the tendon.
Sprain has to do with the ligaments.
So if there's a type one strain, you can still work it.
If there's a type three strain,
you do not want to stretch it or work it
'cause that's when the muscle completely tore off
from the origin or the insertion.
So you need to be real careful with that,
especially if they're a little bit bruised.
You don't wanna overwork it.
It's better if they go to a doctor first
and find out what's going on, and then if everything's okay
and it's just something you can work on,
then you can go ahead and work it.
But you wanna make sure and do your petrissage again.
Your effleurage.
You can do your trigger points are mainly
in the middle of the belly of the muscle.
You can hold it, remember, up to 10 to 15 seconds.
If you find a trigger point,
I'm actually finding a trigger point right there.
Does that hurt, Leo, right there or?
No, no?
Feels a little tense right there,
right on the belly of the muscle.
And with him I can really feel
all the difference in the fibers,
and I can also get the brachialis right here.
Another one that I like to do
is I support the arm with my arm
and to kind of move it around.
Like, really try to manipulate it at the joint.
At the glenohumeral joint this is a really good movement.
Especially for people that are having frozen shoulder,
and it affects the long head of the bicep.
You know you can really just try to manipulate
the glenohumeral joint,
and also get at the same time while you're there,
get the brachialis underneath right here.
And some of the things that the pathologies are
tendonitis and anything that has "itis"
means that it's swollen.
So that usually happens at the attachments.
So it's swollen and the way you really treat that,
actually even a type one or a type two strain,
you treat it almost the same.
You use the RICE, you know, the rest, the ice,
the elevation, and another thing that you can incorporate
is PT, you know the physical therapy.
That's the best way, you know.
After they've healed they can start.
Of course the doctor would have to prescribe the PT,
but you can also try to
do some stretches,
you know, stretching the muscle a little bit
and having them flex gently.
If they can flex and you can apply
a little bit of resistance, you know holding the muscle,
and moving up one inch at a time.
Having them flex so that you're kind of stretching
that muscle out a little bit.
They offer a little bit of resistance,
active resistance from the client.
And then passive,
you know, you can do it yourself by grasping.
You know, you can do it with one hand,
or you can do it with two hands.
(upbeat music)
Well thank you guys for tuning in again and following me.
I appreciate that.
Make sure that you're follow me on Instagram,
and I've got a new Facebook account,
so if you wanna follow me there too.
I'm gonna try to make it a little bit different,
not to post the same thing.
Maybe have some live videos.
And the next video will be on the triceps,
and I'll be showing you again origins, and insertions,
and a little bit of pathology.
So stay tuned.
'Til the next time, create a good day.
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